Ilkley Jubilee Run 2018 Internet Entry Form

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations

Welcome to the Ilkley Jubilee Run Online Entry system. Please follow the steps below to enter the Run.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.

Once you have hit the "Enter the Rally" button at the end you will receive an automated response confirming we have received your entry form.

If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-

Bank

Unity Trust

Sort Code

60-83-01

Account No.

20254098

Account Name

Ilkley and District Motor Club Ltd

Reference

Please use Driver's full name.

Alternately send a cheque payable to Ilkley and District Motor Club to the Entries Secretary at the address above

When payment has been received you will receive an e-mail confirming your entry. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID

If you don't receive a response within 7 days of the expected payment date, or if you have any other questions, please e-mail entries@jubilee-rally.org

All the fields with a red background must be filled in, or you will not be able to continue. Please put TBA in any red field which you do not know the details for.

Document Addressing

E-Mail address for communication

Real Name of this person

How would you like to receive Finals and Results?

E-mail/WebsitePosted Paper

Driver

Full Name

Address

Post Code

Home Town

Telephone Number

Mobile Number

E-Mail Address

Club

Ilkley and District Motor ClubHistoric Rally Car Register

Date of Birth

Nationality

Driver Publicity

Any other information

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Navigator

Full Name

Address

Post Code

Home Town

Telephone Number

Mobile Number

E-Mail Address

Club

Ilkley and District Motor ClubHistorc Rally Car Register

Date of Birth

Nationality

Navigator Publicity

Any other information

Navigator's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Car

Make

Model

Colour

Registration Number

Engine Capacity

Year

MSA Waiver required if vehicle registered between 1968 and 1981 and has any of the following:

More than four cylinders

More than two carburettor chokes

More than one camshaft per bank of cylinders

Forced Induction

NoYes - Please list items your vehicle has in the text box at the end of this entry form

Class

R1 - ExpertR2 - NoviceR3 - Beginner

Trip meter make & model

Insurers

Name

Address

Person to be contacted in case of serious accident to Driver

Name

Address

Post Code

Telephone Number

Relationship

Will this person be attending the event?

Person to be contacted in case of serious accident to Navigator

Name

Address

Post Code

Telephone Number

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name and Club

Year

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 20 entries, where do you think you should be seeded?

Scrutineering

When would you prefer to scrutineer?

Saturday eveningSunday morning

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Insurance

£

Total Money to be sent

£

Payment Method

Bank TransferCheque

Comments

Anything else you'd like to tell us - include waiver request details

The details on this form will be held on computer in order to be used for the administration of this event. They will also be used to send you information about future events organised by this club, unless you untick this box to indicate you do not wish to receive information on further events.
The details on this form may also be passed on to other motorsport organisations, unless you untick this box to indicate you do not wish these details passed on.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry.

By clicking on the "Enter the Rally" button below you agree to the following: "I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.."